September 16, 2020

The pandemic has strained already short-staffed caregiving services, leaving seniors in southwest Colorado without much of the support they need to survive. This... read more

September 15, 2020

The executive director of the Home Care Alliance of MA responds to recent criticism in Massachusetts that only unionized workers have received extra support and pay during the pandemic. This rebuttal includes reference to how home care agencies... read more

September 14, 2020

This article in the Nevada Current explores the impact of the pandemic on worsening the home care workforce crisis... read more

September 17, 2020

We are thrilled to announce that the fourth National Inventory of Self-Directed Programs for the 2020 AARP Long-Term Services & Supports State Scorecard Report will be released on Thursday, September 24th, 2020! 

Applied Self... read more

September 10, 2020

The Senate did not pass the latest proposed coronavirus stimulus legislation which was widely panned by disability advocates because it did not address key issues such as enhanced funding for HCBS. This latest development increases the likelihood... read more

September 8, 2020

This report from PHI outlines the current state of the direct care workforce including key demographics, challenges to the... read more

September 8, 2020

Findings from a recent survey are summarized, including that 65... read more

September 3, 2020

This article in the Tahlequah Daily Press highlights ADvantage, a self-... read more

September 1, 2020

This article in The 19th posits that the pandemic has had a disproportionate impact on the homecare workforce and... read more

September 2, 2020

This article in the Post Star discusses how many nonprofits that serve... read more

September 1, 2020

This Cal Matters opinion piece by a union executive director advocates for... read more

August 28, 2020

This article in Life Hacker draws upon recent coverage from AARP on the ability to pay family caregivers in self-... read more

August 26, 2020

This is a letter to the editor regarding New York’s self-direction program under the Home and Community-Based... read more

August 26, 2020

This next year will be pivotal for self-direction. We want to help our members advocate for the change they want to see with policymakers and funders.

We hope you will join us for an... read more

August 19, 2020

Applied Self-Direction is highlighting stories of individuals and families who are self-directing at home during the pandemic. You can read about Kevin's story... read more

August 18, 2020

We are thrilled to offer an online strategic communications course on advocating for self-direction in partnership with Andy Burness, founder of Burness, a DC-based firm focused on social change. Andy... read more

August 12, 2020

The Colorado news outlet, The Mountain Mail, wrote a feature on their local Veteran-Directed Care program, Veterans take... read more

August 5, 2020

The Next Avenue article, Where family caregivers can get financial assistance, provides advice to caregivers on how to get paid, including an in-... read more

August 4, 2020
Join the disability community in a call-in day on Tuesday, August 4th, to urge the Senate to include funding for home and community-based services (HCBS) in the coronavirus relief bill being negotiated. Contact your Senators to tell them #... read more
July 31, 2020

Earlier this week, the Senate released a new COVID-19 relief package, the HEALS Act,... read more

July 10, 2020

The New York Times wants to hear your questions about and experiences with disability and accessibility in the U.S.  In the article, Help... read more

July 21, 2020

This amNewYork op-ed, Disability and dignity in the age of COVID-19, was written by Michele Kaplan, a disability advocate and... read more

July 23, 2020

The Crescent News published the article, Self-... read more

July 23, 2020

In collaboration with Granite State Independent Living, Applied Self-Direction created a case study to better... read more

July 17, 2020

Applied Self-Direction is highlighting stories of individuals and families who are self-directing at home during the pandemic. You can read about Tyler's story... read more

July 10, 2020

New York was one of the first states to be hit by the COVID-19 pandemic with nearly half a million reported cases and over 30,000 deaths. Over 40 percent of those deaths have been in nursing home settings.

The Consumer... read more

June 15, 2020

The Partnership for Medicaid Home-Based Care is requesting support of legislative proposals that increase federal funding for Medicaid Home and Community-Based Services (HCBS) and enhance... read more

June 9, 2020

US Democratic Presidential Candidate Joe Biden released a disability plan which includes an aim around self-direction: "Affirming the right of people with disabilities to self-... read more

June 9, 2020

The Journal of Gerontological Social Work published the article commentary, Self-Direction of Home and Community-Based Services in the Time of COVID-19, written by our colleague Kevin J. Mahoney, Founding Director of the National... read more

May 26, 2020

The Boston Globe published the opinion piece, After COVID-19, a better way to support the elderly and people with disabilities, written by our colleague Kevin J. Mahoney, Founding Director of the National Resource Center for Participant-... read more

May 8, 2020

Applied Self-Direction partnered with AARP to publish the blog post, A Solution, with or without Pandemic: Let Individuals Hire Family for Care. The blog discusses the win-win of hiring family members as well as the short- and long-term... read more

March 6, 2020

"Self-directing participants are equipped to efficiently and effectively improve their wellbeing by addressing the underlying social determinants of health that are unique to that individual. In this way, self-direction breaks the mold of “... read more

January 23, 2020

Merle Edwards-Orr presented "Self-Direction and Pressing Issues in Aging" for the Health Management for Older Adults: Developing an Interdisciplinary Approach course at the Harvard Medical School. This course is led by a physician, a... read more

November 12, 2019

Kevin Mahoney, Ellen Mahoney, and Michelle Putnam recently published Self-Direction in Long Term Services and Supports: The Cash and Counseling Demonstration and Evaluation Ten Years On, a book assessing the impact of the original Cash... read more

October 22, 2019

The Centers for Medicare & Medicaid Services (CMS) has strongly encouraged states to submit electronic visit verification (EVV) good faith effort extension requests by November 30, 2019. Many states have already submitted requests, 11 of... read more

August 28, 2019

Qualified providers and quality providers are not always synonymous. Managed Care Organizations (MCOs) may be given direction to utilize qualified providers, but guidance on what qualified really means may not be part of the conversation.  For... read more

August 1, 2019

Individual budgets are a key component of self-directed services, and assessment-informed budgets are used in the majority of states to allocate waiver funding for Home and Community-Based Services. The Human Services Research Institute (HSRI)... read more

July 31, 2019

As the number and variety of self-direction programs across the world continues to increase, it is enlightening to compare definitions and approaches. “Self-Direction Worldwide: Contrasting Beliefs and their Impact on Practice” by Lynn Breedlove... read more

July 25, 2019 to July 30, 2019

We are excited to share that James Toews has joined Applied Self-Direction to support our members and stakeholders as we advance self-direction. Prior to his work at Applied Self-Direction, James had a distinguished career in federal... read more

July 9, 2019

The Center for Public Representation's re-designed Supported Decision-Making Website is now live! Supported decision-making (SDM) is an alternative to guardianship that allows an... read more

July 10, 2019

We are excited to announce that we will co-host a two-day learning experience ("Match") on International Advances in Self-Direction with the Human Services Research Institute (HSRI). The Match will be held on September 9-10 in Boston,... read more

June 12, 2019

A new study led by Boston University School of Public Health (BUSPH) and Veterans Affairs Boston Healthcare System researchers finds that a program that gives Veterans flexible budgets for at-home caregivers is at least as effective as other... read more

May 22, 2019

The Boston College School of Social Work published an article on the Journal of Gerontological Social Work Special Issue on Self-Direction in Long-Term Services and Supports. The article highlights the role Kevin J. Mahoney, Professor Emeritus at... read more

April 4, 2019

We are excited to announce that the Journal of Gerontological Social Work has released a... read more

February 27, 2019

We are pleased to announce that we have joined the Collaboration to Promote Self-Determination (CPSD), an advocacy network whose mission is to push for major systemic reform of the nation’s disability laws and programs. The vision of CPSD is a... read more

February 7, 2019

The Centers for Medicare and Medicaid Services (CMS) will join us “live and in person” at the Self-Direction Conference! CMS will lead a plenary on Monday, April 29th to provide the latest updates on Electronic Visit Verification (EVV)... read more

February 5, 2019

Every year we receive numerous requests for financial support so that participants and family members can attend our conference. This year is no exception.

In response to these requests, we’re offering a “Sponsor a Participant” option... read more

January 24, 2019

Two new research articles on self-direction and behavioral health were recently published.

Mental Health Self-Directed Care... read more

December 21, 2018
Merle Edwards-Orr, as part of his continuing association with Boston College, works with a team from several VA Medical Centers and universities on an evaluation of the Veteran-Directed Care (VDC) program. He has been working with a team to examine... read more
October 15, 2018 to October 16, 2018

Merle Edwards-Orr, Senior Consultant at Applied Self-Direction, wrote a blog for AARP titled, Taking it to the... read more

September 4, 2018

Pyschology Today recently published an article, Can Addicts Change Through Self-Direction?. The article is available on their... read more

September 4, 2018

Citizen Network is working with the European SKILLS project to identify the extent to which self-directed support is being adopted in different countries around the world.

The project recently published a discussion paper offering: an... read more

August 10, 2018
Mollie Murphy, President of Applied Self-Direction, presented to the Missouri Council for In-Home Services members on the Fair Labor Standards Act Home Care Rule and self-direction compliance on August 10, 2018.
August 9, 2018

We are offering a new membership option for state agencies this year! The State Focus option includes 10 monthly calls with our membership team. Each call will be up to one hour. Your team can use these calls to problem-solve specific issues,... read more

June 6, 2018 to June 8, 2018

Mollie Murphy was a highlighted speaker at the The National Association of State Directors of Developmental Disabilities Services (NASDDDS) ... read more

June 13, 2018

Mollie Murphy, President of Applied Self-Direction, presented to the Missouri Council for In-Home Services members on Fiscal/Employer Agent tax policies and procedures on June 13, 2018.... read more

July 31, 2018

The Reinventing Quality planning committee asked Applied Self-Direction to organize a session at their July 2018 Reinventing Quality Conference in Baltimore, Maryland. The... read more

May 17, 2018

What effect does self-direction have on functional outcomes like housing and employment?

To find out, HSRI researchers and colleagues,  including the NRCPDS Founding Director, Kevin J. Mahoney, looked at approximately four years’ worth of... read more

May 16, 2018

CMS has just released two major pieces of Electronic Visit Verficiation (EVV) guidance:  an informational bulletin and... read more

May 3, 2018

Refer an organization to FMSStakeholder, or ... read more

May 7, 2018

We are excited to announce that three representatives from the Disabled and Elderly Health Programs Group in the Centers for Medicare and Medicaid Services (CMS) Central Office will be leading a session on Electronic Visit Verification... read more

April 12, 2018

Merle Edwards-Orr, Senior Consultant at Applied Self-Direction, recently co-authored a report with AARP titled, ... read more

February 7, 2018

In January 2018, Applied Self-Direction released a Request for Information (RFI) to identify EVV vendors interested in serving self-direction programs. It is important that EVV systems in self-direction programs meet the unique needs of self-... read more

January 18, 2018

Applied Self-Direction is issuing a Request for Information (RFI) to identify Electronic Visit Verification (EVV) vendors interested in serving self-direction programs. It is important that EVV systems in self-direction programs meet... read more

December 20, 2017

A new HSRI Research Brief summarizes the results of new research on self-direction... read more

July 28, 2017

The Human Services Research Institute (HSRI) and Applied Self-Direction, the new home for the National Resource Center for Participant-Directed Services (NRCPDS), are pleased to announce the release of a new website,... read more

June 13, 2017

The Georgetown University Center for Children and Families (CCF) and NHeLP jointly developed 50 state (and DC) specific fact sheets on... read more

June 1, 2017

The Georgetown Center on Poverty and Inequality released a new report, Building the Caring Economy: Workforce Investments to Expand Access to Affordable, High-Quality and Long-Term Care, proposing caregiving jobs investments to address... read more

May 16, 2017

The Kaiser Family Foundation recently released the issue brief, State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities, showing major variations in Medicaid spending across different states and and... read more

May 16, 2017

A new report describing Medicaid long-term services and supports (LTSS) expenditures is now available on the LTSS data page. The... read more

May 5, 2017

As part of our Membership Committee on Advancing Self Direction in a Changing Environment, we created leave-behind Self Direction... read more

May 5, 2017

For years, people who receive disability-related support services have used self direction to live independently in their communities. Now people with serious mental health conditions are using self direction to transform their lives. A new... read more

March 7, 2017

Questions for the Record “Hearing to Consider the Nomination of Seema Verma to be Administrator of the Centers for Medicare & Medicaid Services” Before Senate Finance Committee is available... read more

February 14, 2017

The Kaiser Family Foundation recently published a report on whether a state's adoption of the ACA Medicaid expansion for low-income adults affects the size of its HCBS waiver waiting lists. The full report can be found... read more

February 10, 2017

The article, Dust Off: Veteran-directed care benefits everyone, was posted on TCPalm about the Veteran-Directed Home and Community-Based Services (VD-HCBS) program in West Palm Florida. You can access the full article... read more

December 19, 2016

In December 2016, the State Health Reform Assistance Network released an issues brief titled, Capping Federal Medicaid Funding: Key Financing Issues for States.

President-Elect Donald Trump and Republican congressional leadership... read more

January 20, 2017

The Department of Labor (DOL) recently posted new information on their website about Labor Costs for Direct Care Workers. The document explains a... read more

January 10, 2017

The Gerontological Society of America released a press release announcing their new issue of the Public Policy & Aging Report, Participant Self-Direction in Long-Term Supports and Services. The issue can be viewed... read more

December 13, 2016
On December 13, 2016, the Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin on Strengthening Program Integrity in Medicaid Personal Care Services. The bulletin is avilable online here: read more
November 9, 2016

On November 9, 2016, the Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking information and data on additional reforms and policy options that we can consider to accelerate the provision of home and... read more

November 10, 2016

Report: Travelling Hopefully: Best Practice in Self-Directed Support by Simon Duffy

South Australia has firmly committed itself... read more

October 25, 2016

Quartz website posted the article, The future of senior care could be paying your friends and family.This article serves as a great introduction to self direction and includes comments and quotes from the NRCPDS and several other... read more

October 26, 2016

The Public Policy & Aging Report, published quarterly, explores policy issues generated by the aging of American society. The January 2016 issue focuses on Self Direction in Long-Term Services and Supports and includes several... read more

August 30, 2016

The report, “Money Follows the Person (MFP) Demonstration: Overview of State Grantee Progress, January to December 2015,” summarizes progress between January and December 2015 by the 44 MFP grantee states (including the District of Columbia) that... read more

August 24, 2016

This Open Forum describes a September 2015 international learning exchange meeting in which experts in self-direction and mental health from seven nations convened for sharing best practices, discussing challenges, and laying the groundwork for a... read more